| NPI | 1275907990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY POPE Administrator 774-447-3601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: IL 3000305) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: IL 3000305) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2016-06-10 |